COLUMBUS NEIGHBORHOOD HEALTH CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC (EIN 31-1533908)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-22
IRS object ID
201232359349300228
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-22T11:41:14-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOWARD WERSHBALE & COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line123240 CHAGRIN BLVDAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code441225450ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311533908EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COLUMBUS NEIGHBORHOOD HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOHN WISELEYInCareOfName
Name ControlCOLUNameControl
Phone6146455500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 Watermark DriveAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN D WISELEYName
TitleCFOTitle
Date Signed2012-08-20DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMatthew Dasta CPAName
Phone2168311200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJohn D WiseleyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11800 Watermark Drive STE 420AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17795820GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COLNHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSERVE THE COMMUNITY BY PROVIDING SERVICES TO INDIVIDUALS AND FAMILIES WITH BARRIERS TO HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees188TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year11067744ContributionsGrantsPriorYear
Contributions Grants Current Year10970665ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5064205ProgramServiceRevenuePriorYear
Program Service Revenue CY6755601ProgramServiceRevenueCY
Investment Income Prior Year10252InvestmentIncomePriorYear
Investment Income Current Year1770InvestmentIncomeCurrentYear
Other Revenue Prior Year31642OtherRevenuePriorYear
Other Revenue Current Year63698OtherRevenueCurrentYear
Total Revenue Prior Year16173843TotalRevenuePriorYear
Total Revenue Current Year17791734TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8477883SalariesEtcPriorYear
Salaries Etc Current Year9611017SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year30635TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7139420OtherExpensePriorYear
Other Expenses Current Year7776721OtherExpensesCurrentYear
Total Expenses Prior Year15647938TotalExpensesPriorYear
Total Expenses Current Year17387738TotalExpensesCurrentYear
Revenues Less Expenses Prior Year525905RevenuesLessExpensesPriorYear
Revenues Less Expenses CY403996RevenuesLessExpensesCY
Total Assets BOY6261827TotalAssetsBOY
Total Assets EOY6690225TotalAssetsEOY
Total Liabilities BOY1025827TotalLiabilitiesBOY
Total Liabilities EOY1050229TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5236000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5639996NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF THE COLUMBUS NEIGHBORHOOD HEALTH CENTER IS TO SERVE THE COMMUNITY THROUGH SERVICES THAT IMPROVE THE HEALTH OF FAMILIES INCLUDNG PEOPLE EXPERIENCING FINANCIAL, SOCIAL OR CULTURAL BARRIERS TO HEALTH CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11039437Expense
Revenue5345917Revenue
DescriptionMEDICAL SERVICES: PRIMARY CARE PHYSICIANS ARE TRAINED TO TREAT OVER 90% OF ALL ILLNESSES. THESE PHYSICIANS ARE TRAINED IN OTHER SPECIALTY AREAS, INCLUDING INTERNAL MEDICINE, GERIATRICS, AND PREVENTATIVE MEDICINE. PHYSICIANS PROVIDE IMMUNIZATIONS, WELL-BABY/CHILD CHECK-UP, PHYSICALS, SICK VISITS, BLOOD PRESSURE CHECKS, GLUCOSE SCREENINGS, SPORT PHYSICALS, FLU SHOTS, MINOR SURGERY AND MANY OTHER SERVICES. CNHC ALSO PROVIDES OBSTETRICS AND GYNECHOLOGY CARE INCLUDING CARE DURING PREGNANCY, WELL WOMAN ANNUAL EXAMS, EVALUATION AND TREATMENT OF ABNORMAL PAP SMEARS, MENOPAUSAL CONSULTATION, EVALUATION AND TREATMENT OF PELVIC PAIN, CONTRACEPTION. NUMBER OF PATIENT VISITS IN 2011 FOR MEDICAL SERVICES WAS 56,413.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1494711Expense
Revenue868095Revenue
DescriptionDENTAL SERVICES: CNHC PROVIDES TOP-NOTCH PREVENTIVE AND OPERATIVE DENTISTRY FOR ADULTS AND CHILDREN. SERVICES INCLUDE PREVENTATIVE EXAMS, X-RAYS, CLEANINGS, FLUORIDE TREATMENTS, SEALANTS, FILLINGS AND EXTRACTIONS, AND ROOT CANALS. ALONG WITH DELIVERING HIGH QUALITY DENTAL CARE, CNHC MAKES DENTAL VISITS A COMFORTABLE EXPERIENCE. NUMBER OF PATIENT VISITS IN 2011 FOR DENTAL SERVICES WAS 12,988.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense856225Expense
DescriptionHOMELESS PROGRAM: CNHC RECOGNIZES THE STRUGGLES OF THE HOMELESS COMMUNITY, INCLUDING THE CHALLENGE OF OBTAINING ACCESS TO PRIMARY HEALTHCARE, MENTAL HEALTHCARE, AND SUBSTANCE ABUSE COUNSELING. CNHC PROVIDES CASE MANAGEMENT; OUTREACH SERVICES; CHRONIC DISEASE MANAGEMENT; SUPPORTIVE HOUSING LINKAGE; HEALTH EDUCATION PROMOTION, AND PREVENTION SERVICES; TRANSPORTATION SERVICES; ANCILLARY SERVICES; MENTAL HEALTHCARE ACCESS; AND SUBSTANCE ABUSE COUNSELING. NUMBER OF HOMELESS PATIENT VISITS IN 2011 FOR MEDICAL SERVICE WAS 2,162 FOR DENTAL SERVICES WAS 701, AND FOR VISION SERVICES WAS 208.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
888780581444Vision Services
30293023843Prescription Services
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1191710TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev605287TotalOfOtherProgramServiceRev
Total Program Service Expense14582083TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109649NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees188NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN WISELEYNamePerson
Telephone Number6146455500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11800 WATERMARK DRIVE SUITE 420AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
NAIMAH ALI
TRUSTEE1.0X000
CAROLE ANDERSON
TRUSTEE1.0X000
JOE BRANDON
SECRETARY1.0X000X
KEVIN DIXON
TRUSTEE1.0X000
JANET DURBIN
TRUSTEE1.0X000
REED FRALEY
EX-OFFICIO1.0X000
DOUGLAS HAMMOND
TRUSTEE1.0X000
SONIA JOHNSON-CAREY
TREASURER1.0X000X
CHARLETA TAVARES
TRUSTEE1.0X000
JOHN TOLBERT
EX-OFFICIO1.0X000
JOSUE' VICENTE
TRUSTEE1.0X000
SARA WIDING
PRESIDENT - ELECT1.0X000X
BRENDA ONESKO
PRESIDENT1.0X000X
THOMAS HORAN
CHIEF EXECUTIVE OFFICER40.017425404188X
JOHN WISELEY
CHIEF FINANCIAL OFFICER40.08769607875X
KEN DARLING
CHIEF OPERATIONS OFFICER40.010622404486X
KELLY FLEMMING
INTERIM MEDICAL DIRECTOR40.014250009385X
DARREN HUFF
DIR OF ADMIN/CIO40.08975907929X
PARMINDER BAJWA
DIRECTOR OF MEDICAL SERVICES40.012932703339X
PEARLINE BYRD
DIRECTOR OF COMMUNITY SERVICES40.08129906691X
JEFFREY MARABLE
PHYSICIAN40.0200769017657X
ANINDITA GHOSH
PHYSICIAN40.013582603614X
GREGARY GRAVES
OPTOMETRIST40.0125361016284X
BARBARA LAROQUE
PHYSICIAN40.013050007935X
ANAHI ORTIZ
PHYSICIAN40.0124800016570X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1528315TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation105953TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants9098787GovernmentGrants
All Other Contributions1871878AllOtherContributions
Noncash Contributions1848889NoncashContributions
Total Contributions10970665TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID REVENUE62130043132064313206
PATIENT FEES REVENUE62130022070962207096
PRIVATE INSURANCE REVENUE621300235299235299
FieldValueIRS element (for citing)
Total Program Service Revenue6755601TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5856TotalRevenueColumn
Exclusion$5,856ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real55970Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real55970Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column55970TotalRevenueColumn
Related Or Exempt Function Income55970RelatedOrExemptFunctionIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other4086Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-4086Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-4086TotalRevenueColumn
Exclusion-$4,086ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code621300BusinessCode
Total Revenue Column7728TotalRevenueColumn
Related Or Exempt Function Income7728RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue7728TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17791734TotalRevenueColumn
Related Or Exempt Function Income6819299RelatedOrExemptFunctionIncome
Exclusion$1,770ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total854952Total
Program Services193080ProgramServices
Management And General661872ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6884757Total
Program Services6132693ProgramServices
Management And General752064ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total105190Total
Program Services82366ProgramServices
Management And General22824ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1146206Total
Program Services886392ProgramServices
Management And General259814ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total619912Total
Program Services489707ProgramServices
Management And General130205ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total92161Total
Management And General92161ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33750Total
Management And General33750ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total69275Total
Program Services11685ProgramServices
Management And General57590ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total34528Total
Program Services0ProgramServices
Management And General34528ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total654797Total
Program Services617335ProgramServices
Management And General37462ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3839Total
Program Services2748ProgramServices
Management And General1091ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1083109Total
Program Services924957ProgramServices
Management And General158152ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total35287Total
Program Services19837ProgramServices
Management And General15450ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total73924Total
Program Services4097ProgramServices
Management And General69827ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total340955Total
Program Services149623ProgramServices
Management And General191332ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total64738Total
Program Services53238ProgramServices
Management And General11500ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT53324653136318830
PATIENT CARE EXPENSES266362226625531069
CONTRACTED SERVICES1371324134220329121
CONTRACTED STAFF1843201792365084

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total537846Total
Program Services298970ProgramServices
Management And General238876ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17387738Total
Program Services14582083ProgramServices
Management And General2805655ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3558175BOY
EOY4804618EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY242224BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY541290BOY
EOY417447EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY933503BOY
EOY662090EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY106942BOY
EOY97172EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2246006LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1554173LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY867639BOY
EOY691833EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12054BOY
EOY17065EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6261827BOY
EOY6690225EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY942779BOY
EOY1012745EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY21714BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY61334BOY
EOY37484EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1025827BOY
EOY1050229EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5236000BOY
EOY5639996EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5236000BOY
EOY5639996EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6261827BOY
EOY6690225EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses403996ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9144320CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10702433CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10616344CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11067744CurrentTaxYearMinus1Year
Current Tax Year10970665CurrentTaxYear
Total52501506Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9144320CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10702433CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10616344CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11067744CurrentTaxYearMinus1Year
Current Tax Year10970665CurrentTaxYear
Total52501506Total
FieldValueIRS element (for citing)
Public Support Total17052501506PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59173CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9495CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years861CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10252CurrentTaxYearMinus1Year
Current Tax Year61826CurrentTaxYear
Total141607Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year7728CurrentTaxYear
Total7728Total
FieldValueIRS element (for citing)
Total Support52650841TotalSupport
Public Support Pertcentage1700.99716PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99720PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis787761OtherCostOrOtherBasis
Depreciation699237Depreciation
Book Value88524BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1431928OtherCostOrOtherBasis
Depreciation834818Depreciation
Book Value597110BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26317OtherCostOrOtherBasis
Depreciation20118Depreciation
Book Value6199BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings691833TotalOfBookValueLandBuildings
Total Revenue17791734TotalRevenue
Total Expenses17387738TotalExpenses
Excess Or Deficit For Year403996ExcessOrDeficitForYear
Excess Or Deficit Per FS403996ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18328428TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities532608DonatedSrvcAndUseOfFacilities
Other Revenues4086OtherRevenues
Revenue Not Rptd F990536694RevenueNotRptdF990
Revenue Subtotal17791734RevenueSubtotal
Total Revenue Per Form99017791734TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17924432TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities532608DonatedServicesUseOfFacilities
Losses Reported4086LossesReported
Expenses Not Rptd F990536694ExpensesNotRptdF990
Expenses Subtotal17387738ExpensesSubtotal
Total Expenses Per Form99017387738TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierOTHER RECONCILIATION ITEMSIdentifier
Return ReferenceSCHEDULE D, PART XII, LINE 1dReturnReference
ExplanationLOSS ON THE DISPOSAL OF FIXED ASSETS WAS INCLUDED AS AN EXPENSE ON THE FINANCIAL STATEMENTS, HOWEVER FOR TAX PURPOSES IT IS INCLUDED AS PART OF REVENUE ON FORM 990, PAGE 9, LINE 7d.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS HORAN
174254000000041880178442000
KELLY FLEMMING
142500000000093850151885000
JEFFREY MARABLE
2007690000000176570218426000

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9901848889NoncashContribsRptdF990
Method Of Determining RevenuesCOST OF MEDICATIONSMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
AUDIT COMMITTEEFORM 990, PART XI, LINE 2CTHE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.
OTHER PROGRAM SERVICESFORM 990, PART III, LINE 4DVISION: CNHC BELIEVES IT IS VERY IMPORTANT TO CARE FOR VISION, JUST AS IT IS FOR OTHER HEALTH ASPECTS. CNHC PROVIDES ANNUAL EXAMS TO ASSIST IN THE PROTECTION OF ITS PATIENTS' EYES, DETECTION OF ANY PROBLEMS AND TREATING THOSE IDENTIFIED, AT THE EARLIEST STATE. NUMBER OF PATIENT VISITS IN 2011 FOR VISION SERVICES WAS 7,404. PRESCRIPTION ACCESS PROGRAM: PRESCRIPTION ACCESS IS A PRESCRIPTION ASSISTANCE SERVICE THAT WAS INITIATED BY THE COLUMBUS MEDICAL ASSOCIATION FOUNDATION. PRESCRIPTION ACCESS PROVIDES ACCESS TO AFFORDABLE MEDICATIONS FOR THE UNISURED AND LOW-INCOME RESIDENTS OF FRANKLIN COUNTY. NUMBER OF PEOPLE RECEIVING PHARMACY ASSISTANCE IN 2011 WAS 9,728. CNHC RENTS A PORTION OF ITS FACILITY TO THE COLUMBUS HEALTH DEPARTMENT (WIC) ON A COST-REIMBURSEMENT BASIS TO FURTHER ITS EXEMPT PURPOSE AND SUPPLEMENT ITS EXISTING SERVICES.
REVIEW PROCESS OF FORM 990FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE FINANCE COMMITTEE, THE EXECUTIVE BOARD COMMITTEE AND/OR THE FULL BOARD OF DIRECTORS THEN REVIEW THE FORM 990 AND MAKE A DECISION WHETHER OR NOT TO ACCEPT THE FORM 990. A COPY OF THE FORM 990 IS GIVEN TO THE BOARD OF DIRECTORS PRIOR TO FILING.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY, HEALTHCARE PROVIDERS HAVE THE CONFLICT OF INTEREST POLICY IN THEIR CONTRACTS, AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE TO ALL STAFF THROUGH THE EMPLOYEE HANDBOOK. THE CONFLICT OF INTEREST POLICY IS BASED ON THE HONOR SYSTEM OF NOTIFYING MANAGEMENT IF A CONFLICT OF INTEREST EXISTS.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINE 15IN DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, TOP MANAGEMENT AND OTHER KEY EMPLOYEES, THE COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC. USES COMPARATIVE COMPENSATION INFORMATION FROM OTHER FQHC'S AND THE LOCAL MARKET.
PUBLIC AVAILABILITY OF FORMSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

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